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A huge share of all plastic surgeries is breast augmentation, and it is not surprising, because many girls dream of a large and lush bust. However, not everyone who needs surgery in this area, suffer from a small size of the mammary glands. In addition to the size of the breast, the nipple and areola are of great importance in terms of aesthetics. Nipple and areola correction is performed to create symmetry and change the size and shape of the nipple-areola complex.
Congenital developmental disorders, as well as acquired diseases can lead to changes in the shape and size of the nipples, and this leads to a decrease in self-esteem and insecurity. Surgery of this type is performed independently, as well as in combination with breast augmentation or reduction. If we judge the procedure in terms of complexity, it should be said that nipple correction refers to simple operations with a short recovery period.
From the medical point of view, nipple shape disorder is not considered a pathological condition that requires special treatment. But we should not forget about the psycho-emotional status of girls who have complexes about their appearance. Nipple correction is a reliable way to return the nipple-areolar complex to its natural shape and create a permanent cosmetic effect with minimal risk.
INDICATIONS FOR SURGERY
The mammary gland undergoes a number of stages in its development, depending on the hormonal background and fat metabolism. This means that the shape and size of the nipples change dramatically during adolescence, pregnancy, and when you lose or gain weight.
Since the procedure is not curative, the indications for its performance are considered relative. The main reason for performing the operation is the desire of the patient herself. We can only list the main conditions that require plastic correction:
- Overly long or wide nipples.
- Disturbed nipple symmetry, congenital, age-related or post-surgical.
- Overstretched areolae.
- Post-traumatic deformation of the nipple-areolar complex.
- Retracted nipples.
- Nipples pointing downward.
CONTRAINDICATIONS
There are no specific contraindications that prohibit the operation, however, there are a number of general surgical restrictions:
- Minors.
- Pregnancy.
- Breastfeeding.
- Diseases of infectious origin.
- Caugolopathy.
- Malignant neoplasms.
- Psychological abnormalities.
PREOPERATIVE PERIOD
To exclude factors that complicate the course of the operation, the patient should undergo a complete examination. Laboratory tests are carried out, including a general blood test, urine, biochemical indicators of liver and kidney function. Also requires the help of instrumental techniques such as electrocardiography, ultrasound and mammography. In addition, before the operation, a consultation with a therapist is required.
COURSE OF OPERATION
If nipple correction is performed separately, not in conjunction with mammoplasty, the procedure is performed on an outpatient basis, under local anesthesia. Sometimes the doctor decides to use intravenous anesthesia. In the course of surgical intervention, the surgeon excises the «problem» areas of skin areolar area. Then, with the help of special sutures, the surgical wound is sutured. Thanks to cosmetic sutures, the scar becomes completely invisible, and not every specialist is able to visually establish the fact of surgical intervention.
In the case of a retracted nipple, the procedure is slightly different. An incision of no more than 1 cm is made, after which the overgrown connective tissue that disturbs the configuration of the nipple is dissected through the surgical wound. After that, the physiologic shape of the nipple is restored. Such intervention refers to microsurgical manipulations. Nipple reconstruction is essential for natural feeding.
If the patient complains of an excessively large nipple, a wedge excision is used. Unfortunately, the milk ducts are damaged and breastfeeding becomes impossible.
Reconstructive mammoplasty significantly improves the quality of life of women who have undergone breast removal. Unfortunately, in most cases the nipple cannot be preserved and the nipple-areolar complex must be reconstructed using skin autografts from the perineum. In this area the pigmentation is identical to the areola. Transplantation, in combination with tattooing, visually restores the nipple and makes it indistinguishable from the natural nipple.
It is possible to use the services of laser surgery. This method is considered to be the most modern and does not have a negative impact on the deep layers of the skin. Using laser technology, it is possible to avoid sensitivity disorders of the nipple-areolar area and postoperative scars.
If you want to be operated by a high-class specialist in plastic surgery, contact us, at the «Clinics of Germany» Center. We know the level of qualification of every plastic surgeon in Munich, the medical capital of Germany. We will ensure that you will be performed by the surgeon who does it as efficiently as possible and can really help you.